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Genetically predicted cognitive performance and risk of meniscal derangement: A 2-sample Mendelian randomization
Chao Li1, Mengjie Zhang2, Jie Yin1
1Department of Joint Surgery, Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Medicine
|July 31, 2026
Summary
Higher genetically predicted cognitive performance is linked to a reduced risk of meniscal derangement. This Mendelian randomization study suggests a potential protective genetic association between cognitive ability and knee meniscus health.
Area of Science:
- Genetics and Neuroscience
- Orthopedics and Musculoskeletal Health
Background:
- The relationship between cognitive function and meniscal derangement remains largely unexplored.
- Understanding potential genetic links can offer novel insights into disease etiology.
Purpose of the Study:
- To investigate the genetic association between cognitive performance and meniscal derangement using a 2-sample Mendelian randomization approach.
- To explore if genetic predisposition to higher cognitive function influences the risk of meniscal injuries.
Main Methods:
- Utilized summary-level data from large genome-wide association studies for cognitive performance and meniscal derangement.
- Employed single nucleotide polymorphisms (SNPs) as instrumental variables in a 2-sample Mendelian randomization analysis.
- Applied inverse-variance weighted (IVW), weighted median, and MR-Egger regression methods for robust association estimation and sensitivity analyses.
Main Results:
- Genetically predicted cognitive performance showed an inverse correlation with the odds of meniscal derangement.
- The IVW method indicated a significant association (OR=0.76, P=0.0002) per standard deviation increase in cognitive performance.
- Sensitivity analyses, including the weighted median method, supported a protective association, while MR-Egger did not find a significant link, and no significant pleiotropy was detected.
Conclusions:
- Higher genetically predicted cognitive performance is associated with a lower risk of meniscal derangement.
- The findings suggest a potential genetic basis for the link between cognitive function and knee meniscus health.
- Further research is needed to elucidate the specific neurocognitive and musculoskeletal mechanisms involved.